Division of Emergency Medicine, London Health Sciences Centre, Western University, London, ON, Canada.
Division of Critical Care Medicine, London Health Sciences Centre, Western University, 800 Commissioners Road East, London, ON, Canada.
Can J Anaesth. 2018 Apr;65(4):360-370. doi: 10.1007/s12630-017-1030-x. Epub 2017 Dec 4.
The use of point-of-care ultrasound in trauma provides diagnostic clarity and routinely influences management. A scanning protocol known as the Focused Assessment with Sonography in Trauma (FAST) has been widely adopted by trauma providers of all specialties. The FAST exam addresses a broad array of pathologic conditions capable of causing instability, including hemoperitoneum, hemopericardium, hemothorax, and pneumothorax. The exam is an integral component to the primary assessment of injured patients and an iconic application of point-of-care ultrasound.This review article aims to summarize the application of the FAST exam with special consideration, where relevant, to anesthesiologists. The scope of the FAST exam, technical considerations, and clinical decision-making in trauma are explored.
在创伤中使用即时超声可提供明确的诊断，并经常影响治疗管理。一种名为创伤超声重点评估（FAST）的扫描方案已被所有专业的创伤提供者广泛采用。FAST 检查可诊断多种可能导致不稳定的病理状况，包括腹腔积血、心包积血、血胸和气胸。该检查是对受伤患者进行初步评估的重要组成部分，也是即时超声的标志性应用。本文旨在总结 FAST 检查的应用，特别考虑到麻醉医生的相关情况。探讨了 FAST 检查的范围、技术考虑因素和创伤中的临床决策。
